Nickerson, Taylor E

Nickerson, Taylor E is an individual health care provider with primary practice located at 269-01 76Th Avenue , New Hyde Park NY 11040-1104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Nickerson, Taylor E can be contacted via phone (718) 470-3668.

Contact Information

Primary practice address
269-01 76Th Avenue New Hyde Park NY 11040-1104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 310805 New York

Profile Details

NPI number 1194104018
LBN Legal business name Nickerson, Taylor E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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